Registered Nurse Reviewer
Compensation
Pay not listed
The week · per this posting · weekdays assumed
Ask the employer about the pay range, call expectations, weekend coverage and time off.
Job Description
Dane Street has embarked on a program where we are looking for Registered Nurses to perform reviews and clinical summaries for disability claims. The expected report turnaround time for the reviewer is 2 days. Initial training will be scheduled.
The training will include a walkthrough of the Dane Street portal to ensure you are comfortable with the technology and to become familiar with the required formatting of the reports. Training material will also be shared (i. e. sample reports and client specific training documents).
Following your training, you will have a Dane Street contact to assist you with any questions or concerns you have while completing reports. Please note this is an ongoing project-based need.
Job Summary
A clinical summary of the relevant medical documentation for the period under review. Based on client requirements, this could include:
A summary of each document (should include an author, date, and title, or type of document)
The Claimant’s Impairing Diagnosis
- Any comorbid conditions that are impacting function and or recovery in the assessment.
- Any relevant diagnostic testing, lab work, exam findings or other clinical information that is relevant to the impairing condition
- A conclusion to the assessment. Based on client requirements, this section could include:
- Restrictions and limitations that are specific to the condition for which the person is out of work
- A duration for restrictions and limitations that are easily understood and supported based on the medical on file.
- A rationale that is clinically based and supports the nurse reviewer’s conclusions.
- Answers to all referral questions posed.
- Based on client requirements there may be calls required to the treating providers
- Documentation should be written in a professional and concise manner
- Free of clinical and/or claim acronyms, clinical titles are appropriate (MD, Dr, APRN)
Free of Grammar and Spelling Issues
All medical terminology needs to be explained in layman’s terms.
Written in a manner easily understood by the layperson avoiding unapproved abbreviations/acronyms that may not be easily understood by the non-medical professional.
Job Experience
Active Registered Nurse
Prior work experience in commercial disability insurance: disability insurance carrier or TPA (i. e., UNUM, Sedgwick, Mutual of Omaha)
Diverse Clinical Background
PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.
About DANE Street
A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seeking insightful, astute forward-thinking professionals.
We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers.
We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.
Key Responsibilities
The Registered Nurse Reviewer will perform clinical reviews and generate summaries for disability claims based on medical documentation. They are responsible for providing clinically based rationales, identifying restrictions and limitations, and answering referral questions in a professional manner.
Requirements
Candidates must be an active Registered Nurse with prior work experience in commercial disability insurance. A diverse clinical background is required to effectively evaluate medical documentation and provide clinical conclusions.
Qualifications
- Experience
- 2+ years of experience
Key Skills
Registered Nurse Career Context
Dane Street holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 71/100, 151 active listings.
Of the 50 active Nursing listings this role was benchmarked against, 30% are remote, 70% have no call, 74% require no weekends — this position is remote.
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